Addiction treatment can be expensive as a person with addiction can be in treatment for weeks, months, or even years. The expense of treatment can deter patients from getting help even if they desperately need it.
Fortunately, all of the United States offer Medicaid programs that help people with low incomes or other financial or health barriers get treatment for a range of health conditions.
Substance abuse treatment covered by Maine Medicaid programs may include drug and alcohol detox, residential treatment, and other addiction treatment services. Medicaid coverage varies, though, according to each person’s health insurance plan.
MaineCare Coverage For Addiction Treatment
Maine Medicaid is also called MaineCare, and it’s run by the State of Maine Department of Health and Human Services. Voters approved the Medicaid expansion allowed by the Affordable Care Act in 2017.
Maine’s relationship to the ACA was and is complicated, and the expansion wasn’t put into effect until 2019. People who could have benefited from the Medicaid expansion in 2017 were given retroactive coverage, and by 2020 57,000 more people were enrolled in MaineCare. As of October 2018, 259,460 residents of Maine were enrolled in MaineCare.
In March 2020, the DHHS waived copays for prescriptions, trips to the emergency department, visits to doctors’ offices, and other services for people enrolled under MaineCare. This was in response to the COVID-19 pandemic.
About 60 percent of public funds to treat and prevent drug and alcohol addiction come from MaineCare insurance programs, with the rest coming from the Fund for a Healthy Maine and the state’s general fund. Other funding comes from SAMHSA, block grants, and other funders, including Medicare.
Because of the Medicaid expansion, people who enter treatment programs for alcohol and/or drug addiction must be given comprehensive care on par with what they would get if they were being treated for a physical health condition.
Drug And Alcohol Rehab Programs Often Covered By MaineCare Plans
Since 2019, MaineCare covers substance use disorder treatment with five levels of care as defined by the American Society of Addiction Medicine.
In this level, MaineCare can pay for drug screening, brief intervention, and referral to treatment. This is called SBIRT and helps the patient’s primary physician or other treatment providers prevent them from developing an addiction in the first place.
However, MaineCare enrollees do not need a referral from their primary health care provider to get treated for their addiction or to receive mental health services.
Alcohol And Drug Treatment
Aspects of recovery paid for by MaineCare health coverage include case management and aftercare. MaineCare’s opioid health home program offers assessment and reassessment and must use peer recovery coaches,
Treatment Services For People With Substance Abuse And Opioid Use Disorder
MaineCare also covers case management and opioid treatment programs for pregnant women with a substance use disorder or opioid use disorder.
Maine Medicaid insurance providers also cover inpatient treatment for people who are hospitalized, in prison, in nursing homes, in juvenile psychiatric hospitals, and people who are intellectually disabled.
Top 4 Rehab Centers That Accept Maine Medicaid (MaineCare)
These four treatment facilities were chosen based on accreditation, the caliber of their treatment approaches, and patient reviews.
1. Carpe Diem Behavioral Associates Inc Lise Carrier Pelletier, Lewiston, Maine
Maine does not have a strong tradition of medication-assisted treatment, and Carpe Diem is one of a handful of treatment centers that offers it. They help patients detox not just from opioids and alcohol but from benzodiazepines, cocaine, and methamphetamines. They offer regular outpatient and ambulatory outpatient detoxification.
Addiction therapies include:
- cognitive and dialectical behavior therapy
- anger management
- motivational interviewing
- rational emotive behavioral therapy
- relapse prevention
They practice community outreach, brief interventions, and promote the 12-step approach. Carpe Diem has rehab programs for veterans and military families, patients with a dual diagnosis, and patients who have undergone trauma.
Other treatment programs they offer are family counseling, aftercare, and discharge planning. There are exclusive services for DWI patients.
Location and contact information:
1525 Lisbon St.
Lewiston, ME 04240
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2. Cornerstone Behavioral Health, Bangor, Maine
This treatment center helps patients struggling with substance use disorder with such addiction therapies as:
- couples therapy
- family therapy
- individual psychotherapy
- trauma therapy
- behavior modification
Cornerstone also offers case management, which is covered by MaineCare, and accepts age groups from children to seniors. They also provide telemedicine therapy and vocational rehabilitation.
Location and contact information:
157 Park St.
Bangor, ME 04401
3. Higher Ground Services, Brewer, Maine
Higher Ground is another outpatient rehab center. Among their treatment approaches are cognitive behavioral therapy, trauma therapy, and relapse prevention. They promote the 12-step approach and accept patients with co-occurring disorders.
Their special programs include aftercare, case management, and discharge planning. Higher Ground also offers substance abuse education and provides peer support services as well as life skills education.
Higher Ground has exclusive treatment services for DWI patients.
Location and contact information:
235 Center St.
Brewer, ME 04412
4. MaineGeneral Medical Center Seton Campus, Waterville
This is an outpatient treatment facility that is geared toward patients with dual diagnoses, and it indeed offers these patients drug rehab that takes their mental health into account.
The treatment facility also offers group therapy, trauma therapy, and cognitive behavioral therapy. They take ages from young adults to seniors and have addiction treatment services for hearing-impaired patients.
Location and contact information:
24 Chase Avenue
Waterville, ME 04901
MaineCare Addiction Treatment FAQs
Choosing an addiction treatment program can be stressful enough without having to worry about what your insurance will and will not cover. Knowing what treatment programs MaineCare (Maine Medicaid) will pay for may help make your decision for choosing a rehab center a little easier.
❓ Does MaineCare Cover The Cost Of Inpatient Drug And Alcohol Treatment?
✔️ MaineCare does pay for inpatient treatment services, but it doesn’t pay for room and board. They also cover residential treatment if the patient’s been admitted to a psychiatric treatment facility if they are under 21.
❓ Does MaineCare Cover The Cost Of Outpatient Addiction Treatment?
✔️ Maine Medicaid often covers outpatient treatment as described in the MaineCare Benefits manual.
❓ Does MaineCare Cover The Cost Of Partial Hospitalization Programs?
✔️ MaineCare usually does not cover partial hospitalization unless the patient is an adult suffering from serious mental illness or a child with serious emotional disturbance.
❓ Does MaineCare Cover The Cost Of Intensive Outpatient Programs?
✔️ Intensive outpatient, or IOP treatment, is covered by MaineCare. IOP is usually at least three, three-hour sessions at the treatment facility per week.
❓ Does Maine Medicaid Pay For Medication-Assisted Treatment?
✔️ MaineCare insurance program covers medication-assisted treatment, or MAT, even though MAT seems to be used less frequently in Maine than it is in other states.
❓ Does MaineCare Cover The Cost Of Suboxone?
✔️ Maine Medicaid does cover Suboxone, buprenorphine, and Vivitrol to treat patients suffering from opioid use disorder, or OUD.
It also pays for naloxone, a medication used to reverse opioid overdose, as long as it is limited to two units every 28 days. However, naloxone isn’t available for the patient’s loved ones to buy on the patient’s behalf.
❓ Does MaineCare Cover The Cost Of Methadone?
✔️MaineCare Services also covers the cost of methadone to treat patients with opioid use disorder. Use of methadone depends on a person’s individual treatment plan.
How To Pay For Costs Not Covered By Maine Medicaid Plans
Personal savings, loans, health care credit cards, crowdfunding, and non-Medicaid insurance plans funded by the state can pay for services not covered by MaineCare.
Some treatment facilities accept military health insurance while others are amenable to arranging payment schedules with their patients. Others charge on a sliding scale.
Eligibility Requirements For MaineCare
A person who is eligible for MaineCare needs to be a resident of Maine, a citizen, permanent resident, or legal alien who needs health care and who has low income, which is calculated at some percentage of the federal poverty level.
For example, a single person may be eligible if they have a maximum income of $16,971 before taxes.
Also, an adult needs to be responsible for a dependent child, whether adopted or related by blood. They need to be between ages 21 and 64 and ineligible for Medicare. Pregnant women and women whose pregnancy ended within the last 60 days are eligible, as are people who are under age 26 but were in foster care while enrolled in Medicaid.
People who are over age 65 and are blind or disabled can apply for MaineCare. If the person is over the income or asset limits, they’ll need to pay a deductible.
Children under age 19 can enroll or be enrolled in MaineCare, the Katie Beckett Program, the Health Insurance Purchase Option or CHIP. There is also Medicaid coverage for newborns.
Finding A Rehab Center That Accepts MaineCare
Most Maine rehab facilities that accept Maine Medicaid are open in spite of the COVID-19 pandemic, so there’s no excuse to forgo help if you or a loved one need treatment for addiction.
To find out more about recovery centers or treatment programs that may accept Medicaid, contact one of our treatment specialists at AddictionResource.net today.
Published on September 29, 2020
Addiction Resource aims to provide only the most current, accurate information in regards to addiction and addiction treatment, which means we only reference the most credible sources available.
These include peer-reviewed journals, government entities and academic institutions, and leaders in addiction healthcare and advocacy. Learn more about how we safeguard our content by viewing our editorial policy.
- Benefits.gov—Maine MaineCare
- Maine Public Radio—Maine DHHS Waiving Prescription Copays For MaineCare Recipients Amid Coronavirus Outbreak
- State of Maine Department of Health and Human Services—Office of MaineCare Services (OMS)